NURS 252: Midterm Questions With Complete Solutions
4 characteristics of percussion? Correct Answer -Amplitude:
how loud
-Pitch: high/ low
-Quality: description (Ex. booming, hollow, drum-like, muffled
thud)
-Duration: how long
AB assessment: What considerations are made for elderly pt's?
Correct Answer -Decrease in appetite, saliva, peristalsis,
enzymes, gastric acids, B12, muscle tone
-Liver size decreases = decreased function
AB assessment: What considerations are made for pediatric pt's?
Correct Answer -Bladder sits above the pubic bone
-Liver sits lower (2 cm below costal region)
-Muscles are not as developed → Easy access = easier to palpate
AB assessment: What considerations are made for pregnant
women? Correct Answer -Abdominal muscles separate to
make space for baby, at risk for hernias and gastro reflux
(heartburn)
-Uterus pushing down on bowels (decrease in bowel sounds and
develop hemorrhoids)
-Umbilicus pops out (innie to outie)
ABCDE mole assessment stands for? Correct Answer
asymmetry, border, color, diameter, evolution
Anosmia? Correct Answer loss of sense of smell
,Are Cherry angiomas normal? Correct Answer yes they're
normal, especially in women
Are Varicosities normal? Correct Answer NO
Looking for any venous dilation (like varicose veins)
Consequences of untreated pain? Besides physical and
emotional pain.. Correct Answer -Immunosuppression
-Sleep disturbances
-Stress response (inc. HR, metabolic rate, blood pressure,
cortisol levels and impaired insulin responses, inc. fluid
retention)
-Myocardial infarction, pulmonary infection, paralytic ileus
Cradle cap? Correct Answer An oily, yellow scaling or crusting
on a baby's scalp. It is common in babies and is easily treated.
Cranial nerve 3 allows our eyes to... Correct Answer CN 3 →
allows us to look everywhere else (thats not down or to the side)
Cranial nerve 4 allows our eyes to... Correct Answer CN 4 →
allows us to look down
Cranial nerve 6 allows our eyes to... Correct Answer CN 6 →
allows us look to the side
Cutaneous pain? Correct Answer Derives from the dermis,
epidermis.
,Define addiction? Correct Answer Characterized by craving,
continued use despite harm, compulsive use
Define modulation of pain Correct Answer how much pain is
perceived at a certain time
Ex. when you're laughing, you're distracted = pain is still there
Define nutritional status Correct Answer Degree of balance
between nutrient intake & requirements
Define physical dependence? Correct Answer Withdrawal
symptoms (physically dependent on the drug)
Drug gets taken away after a long time of use (rebound
withdrawal)
Taper off drug to manage
not a sign of addiction
Define tolerance? Correct Answer Increased does to get same
level of pain relief or changing medications to help with pain
not addiction
Describe the objective assessment of the AB assessment
Correct Answer 1. inspection (look)
2. auscultation (listen)
3. percussion (tap)
4. palpation (feel)
Developmental considerations of adults: skin, hair, nails Correct
Answer SKIN: itchiness, rash, moles, lesions, dry skin
, HAIR: hair loss, brittle hair
NAILS: brittle nails, loss of nail, nail defects
Developmental considerations of older adults: skin, hair, nails
Correct Answer SKIN: itchiness, dryness, tearing, bruising,
decreased turgor
HAIR: loss of hair, brittle hair
NAILS: brittle nails, splitting, clubbing, longitudinal ridging
Developmental considerations of pregnant women: skin, hair,
nails Correct Answer SKIN: PUPP, striae, linea nigra, melasma
HAIR: brittle or thicker due to hormonal changes
NAILS: brittle or stronger due to hormonal changes
During abdomen palpation, if you identify a mass. NOTE THIS:
Correct Answer Location
Size
Shape
Consistency
Surface
Mobility
Pulsatility
Tenderness
During an AB assessment, what are we doing when
auscultating? Correct Answer We are listening for:
-Bowel sounds
-Vascular sounds
-bruits, venous hum (use bell)
-Friction rubs
4 characteristics of percussion? Correct Answer -Amplitude:
how loud
-Pitch: high/ low
-Quality: description (Ex. booming, hollow, drum-like, muffled
thud)
-Duration: how long
AB assessment: What considerations are made for elderly pt's?
Correct Answer -Decrease in appetite, saliva, peristalsis,
enzymes, gastric acids, B12, muscle tone
-Liver size decreases = decreased function
AB assessment: What considerations are made for pediatric pt's?
Correct Answer -Bladder sits above the pubic bone
-Liver sits lower (2 cm below costal region)
-Muscles are not as developed → Easy access = easier to palpate
AB assessment: What considerations are made for pregnant
women? Correct Answer -Abdominal muscles separate to
make space for baby, at risk for hernias and gastro reflux
(heartburn)
-Uterus pushing down on bowels (decrease in bowel sounds and
develop hemorrhoids)
-Umbilicus pops out (innie to outie)
ABCDE mole assessment stands for? Correct Answer
asymmetry, border, color, diameter, evolution
Anosmia? Correct Answer loss of sense of smell
,Are Cherry angiomas normal? Correct Answer yes they're
normal, especially in women
Are Varicosities normal? Correct Answer NO
Looking for any venous dilation (like varicose veins)
Consequences of untreated pain? Besides physical and
emotional pain.. Correct Answer -Immunosuppression
-Sleep disturbances
-Stress response (inc. HR, metabolic rate, blood pressure,
cortisol levels and impaired insulin responses, inc. fluid
retention)
-Myocardial infarction, pulmonary infection, paralytic ileus
Cradle cap? Correct Answer An oily, yellow scaling or crusting
on a baby's scalp. It is common in babies and is easily treated.
Cranial nerve 3 allows our eyes to... Correct Answer CN 3 →
allows us to look everywhere else (thats not down or to the side)
Cranial nerve 4 allows our eyes to... Correct Answer CN 4 →
allows us to look down
Cranial nerve 6 allows our eyes to... Correct Answer CN 6 →
allows us look to the side
Cutaneous pain? Correct Answer Derives from the dermis,
epidermis.
,Define addiction? Correct Answer Characterized by craving,
continued use despite harm, compulsive use
Define modulation of pain Correct Answer how much pain is
perceived at a certain time
Ex. when you're laughing, you're distracted = pain is still there
Define nutritional status Correct Answer Degree of balance
between nutrient intake & requirements
Define physical dependence? Correct Answer Withdrawal
symptoms (physically dependent on the drug)
Drug gets taken away after a long time of use (rebound
withdrawal)
Taper off drug to manage
not a sign of addiction
Define tolerance? Correct Answer Increased does to get same
level of pain relief or changing medications to help with pain
not addiction
Describe the objective assessment of the AB assessment
Correct Answer 1. inspection (look)
2. auscultation (listen)
3. percussion (tap)
4. palpation (feel)
Developmental considerations of adults: skin, hair, nails Correct
Answer SKIN: itchiness, rash, moles, lesions, dry skin
, HAIR: hair loss, brittle hair
NAILS: brittle nails, loss of nail, nail defects
Developmental considerations of older adults: skin, hair, nails
Correct Answer SKIN: itchiness, dryness, tearing, bruising,
decreased turgor
HAIR: loss of hair, brittle hair
NAILS: brittle nails, splitting, clubbing, longitudinal ridging
Developmental considerations of pregnant women: skin, hair,
nails Correct Answer SKIN: PUPP, striae, linea nigra, melasma
HAIR: brittle or thicker due to hormonal changes
NAILS: brittle or stronger due to hormonal changes
During abdomen palpation, if you identify a mass. NOTE THIS:
Correct Answer Location
Size
Shape
Consistency
Surface
Mobility
Pulsatility
Tenderness
During an AB assessment, what are we doing when
auscultating? Correct Answer We are listening for:
-Bowel sounds
-Vascular sounds
-bruits, venous hum (use bell)
-Friction rubs
